Please tell us which show this paperwork is for: (Check one only) You must submit a copy
of this paperwork for each show you plan to attend.
□ DuPage County Horse Show
□ IL State Horse Show
ILLINOIS 4-H CERTIFICATE OF OWNERSHIP
(To be used only with non-registered horses.)
I certify that I own the horse described below and plan to exhibit said horse at the Illinois
State Junior Horse Show and/or the DuPage County 4-H Horse Show.
Signature of 4-H Member
I certify that the above statement is correct.
Signature of Parent/Guardian
(If member is under 18 years of age.)
Name of Horse:
Description of Horse:
Color
Height
Markings
Attach Two Color Photos of Horse: (One photo per side.)
Revised 11/07